MARY A LARSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123291

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

LARSEN

Business Name

MARY A LARSEN

Original Issue Date

10/02/1967

Effective Date

04/03/2014

Expiration Date

05/31/2016

City

SUN PRAIRIE

State

Zip

53590

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016